Thanhgia Phung Prairie Medical Group

NPI 1275832354 - Pediatrics - 208000000X

NPI Details
NPI 1275832354
Enumeration Date 03/15/2011
Last Updated 03/15/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name THANH GIA THANH
Position MEDICAL DIRECTOR
Phone (310) 970-9040
Fax (310) 970-9201
Practice Location
15027 SOUTH PRAIRIE AVE
LAWNDALE CA, 90260, US
Phone (310) 970-9040
Fax (310) 970-9201
Business Location
15027 SOUTH PRAIRIE AVE
LAWNDALE CA, 90260, US
Phone (310) 970-9040
Fax (310) 970-9201
Toxanomy
Taxonomy Code 208000000X
License State
License Number
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According to our database, Thanhgia Phung Prairie Medical Group NPI is 1275832354, taxonomy code is 208000000X Thanhgia Phung Prairie Medical Group physically located at 15027 South Prairie Ave, Lawndale CA, 90260. NPI Number 1033115704 has the healthcare provider type.

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1275832354 NPI number is provided on an as is basis without warranty of any kind. 1275832354 is maintained by the National Plan & Provider Enumeration System. The contents of Thanhgia Phung Prairie Medical Group are for informational purposes only.